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obstetrics aflp dermatology hepatitis obgyn aloc altered bilirubinemia coagulation comatose comparison disease disseminated fatty hellp injury intravascular jaundice nonpalpable palpable
Liver Disease in Pregnancy Intrahepatic Cholestasis of Pregnancy (ICP) • Onset/Trimester: 25-32 weeks • Typical clinical features:
Hepatic infarcts, Hematomas ... extensive necrosis and hemorrhage ... DIC • Aminotransferases ... #hepatology #obstetrics ... #diagnosis #icp
Jaundice - Differential Diagnosis Algorithm Pre-Hepatic - Unconjugated Hyperbilirubinemia Increased Production • Hemolysis • Ineffective Erythropoiesis • Hematoma Decreased
Diagnosis Algorithm ... Erythropoiesis • Hematoma ... Dilatation on Ultrasound ... #Diagnosis #Algorithm ... #Causes #Hepatology
Causes of Altered Level of Consciousness GCS < 7 - Differential Diagnosis Algorithm Brain Involvement - Hemispheric
Diagnosis Algorithm ... fracture • Subdural hematoma ... Vasculitis • TTP • DIC ... - Excesses • Liver ... #Diagnosis #Algorithm
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
of Pregnancy (AFLP ... rapidly develops (DIC ... Antithrombin Ill • Ultrasound ... infiltration) Differential ... #Pregnancy #hepatology
Causes of Post-Partum Hemorrhage - Differential Diagnosis Algorithm Blood Loss: >500mL post vaginal delivery OR >1000 mL
Hemorrhage - Differential ... Diagnosis Algorithm ... Vaginal laceration / hematoma ... intravascular coagulation (DIC ... #Diagnosis #Algorithm
Purpura - Differential Diagnosis Framework Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
Purpura - Differential ... Diagnosis Framework ... red to purple, hemorrhagic ... deficiency • Liver ... #Diagnosis #hematology
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
Acral cyanosis • Hemorrhagic ... Subcutaneous dissecting hematoma ... • Severe Liver ... #Coagulation #diagnosis ... #management #hematology
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Diagnosis Algorithm ... Vascular Causes ... hemolysis, bleeding, hematoma ... #diagnosis #algorithm ... #hepatology
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Diagnosis Algorithm ... than 2 mm) of hemorrhage ... fulminans - DIC ... #Diagnosis #Algorithm ... #Causes #dermatology
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